Pmg Opco-Broussard LLC
NPI #1326708439 in Broussard, Louisiana
Provider Information
- NPI Number
- 1326708439
- Entity Type
- Organization
- Organization Name
- Pmg Opco-Broussard LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 30, 2021
- Last Updated
- Dec 30, 2021
Practice Location
Authorized Official
- Name
- STEVEN BOULWARE
- Title
- MANAGING MEMBER
- Phone
- (972) 428-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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